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Job summary

Main area
Community Stroke Team
Grade
NHS AfC: Band 7
Contract
12 months (secondment or fixed-term)
Hours
Full time - 37.5 hours per week
Job ref
196-LIS8400
Employer
Guy's and St Thomas' NHS Foundation Trust
Employer type
NHS
Site
Pulross Centre Lambeth
Town
London
Salary
£51,488 - £57,802 per annum inc HCA
Salary period
Yearly
Closing
12/05/2024 23:59
Interview date
22/05/2024

Employer heading

Guy's and St Thomas' NHS Foundation Trust logo

Senior Specialist Occupational Therapist

NHS AfC: Band 7

Guy’s and St Thomas’ is among the UK’s busiest and most successful NHS foundation trusts. We provide a full range of hospital and community services for people in south London and as well as specialist care for patients from further afield including cancer, renal, orthopaedic, respiratory and cardiovascular services.

Guy’s is home to the largest dental school in Europe and a £160 million Cancer Centre opened in 2016. As part of our commitment to provide care closer to home, in 2017 we also opened a cancer centre and a kidney treatment centre at Queen Mary’s Hospital in Sidcup. St Thomas’ has one of the largest critical care units in the UK and one of the busiest emergency departments in London. It is also home to Evelina London Children’s Hospital.

Evelina London cares for local children in Lambeth and Southwark and provides specialist services across south east England including cardiac, renal and critical care services. We lead a number of specialist service networks aiming to ensure children are treated locally where possible, but have access to specialist expertise when they need it. Our community services include health visiting, school nursing and support for families of children with long-term conditions. 

Our adult community services teams deliver care at the heart of the local communities we serve, working in partnership with GPs, local authorities and other healthcare and voluntary sector organisations. Working with our partners in Lambeth and Southwark, we are focusing on new ways of working to improve care for local patients.

In February 2021 the Royal Brompton and Harefield joined Guy’s and St Thomas’ NHS Foundation Trust, bringing together world-leading expertise in the care and research of heart and lung disease. Our merger provides a once in a generation opportunity to build a lasting, world-renowned heart and lung centre, providing the highest quality care for patients and conducting world-leading research.

We have a reputation for clinical excellence and high quality teaching and research. We are part of King’s Health Partners, one of eight accredited UK academic health sciences centres. In partnership with King’s College London we have dedicated clinical research facilities including an MHRA accredited Phase I clinical trials unit.

Patients are at the heart of everything we do and we pride ourselves on ensuring the best possible patient experience as well as safe, high quality care. We are proud to have one of the lowest mortality rates in the NHS. Following a comprehensive Care Quality Commission (CQC) inspection in 2019 we maintained our overall rating of ‘good’. Our adult community services achieved a rating of ‘outstanding’.

The commitment of our 23,500 staff is key to our success. We are one of the largest local employers and we aim to develop and support all our staff so they are able to deliver high quality, safe and efficient care. The 2019 NHS staff survey results show that we have one of the most engaged and motivated workforces in the NHS. We know this has a positive impact on the care provided to our patients.

We have one of the most ambitious capital investment programmes anywhere in the NHS.



Job overview

Are you a Specialist Occupational Therapist looking for an opportunity to progress your career? Or are you already a Senior Specialist Occupational Therapist looking for a new challenge? The organisation has a track record for innovative practice. The Community Stroke Team are a holistic patient-centred multi-disciplinary team specialising in providing assessment, treatment and management of Stroke survivors in the community mostly following acute hospital admission, but not exclusively.

The post holder will be primarily based in Lambeth clinically, however travel within Southwark will also be required to other GSTT and community sites. We are offering a 12 month fixed term contract for external candidates or this can be offered as a secondment opportunity for successful internal candidates.

The post holder will be well supported operationally by the Community Stroke Team Deputy Clinical Lead and clinically by a Clinical Specialist Occupational Therapist within the wider Community Stroke & Neurorehabilitation Service. The post holder will work closely and collaboratively as peers with another Senior Specialist Occupational Therapist within the team and an opportunity to meet with the service's AHP Consultant Lead for support with quality improvement projects.

Main duties of the job

  • To provide highly specialised Occupational Therapy input in a multidisciplinary, patient–focussed stroke rehabilitation service for adults in their own homes or community settings.
  • To act as a source of clinical expertise and advice on neuro-occupational therapy for colleagues and other professionals.
  • To work as an autonomous practitioner complying with standards set by the regulatory body (Health & Care Professions Council), professional body (Royal College of Occupational Therapists), government and our GSTT Local Integrated Services.
  • To participate in service development projects in the Community Stroke Team and wider Community Stroke and Neuro Rehabilitation Service.
  • To triage Community Stroke Team referrals and in-reach to local acute Stroke units at St. Thomas' and King's College Hospitals on a rostered basis.
  • To supervise and support the development of Band 6 static and rotational Occupational Therapists, Occupational Therapy Apprentice and Assistant, as well as Rehabilitation Support Workers.

Working for our organisation

Guy’s and St Thomas’ NHS Foundation Trust comprises five of the UK’s best-known hospitals – Guy’s, St Thomas’, Evelina London Children’s Hospital, Royal Brompton and Harefield – as well as community services in Lambeth and Southwark, all with a long history of high-quality care, clinical excellence, research and innovation.

We are among the UK’s busiest, most successful foundation trusts. We provide specialist care for patients including heart and lung, cancer and renal services as well as a full range of local hospital and community services for people in Lambeth and Southwark.

We have a long tradition of clinical and scientific achievement and – as part of King’s Health Partners – we are one of England’s eight academic health sciences centres, bringing together world-class clinical services, teaching and research. We have one of the National Institute for Health Research’s biomedical research centres, established with King’s College London in 2007, as well as dedicated clinical research facilities.

We have around 22,700 staff, making us one of the largest NHS Trusts in the country and one of the biggest employers locally. We aim to reflect the diversity of the communities we serve and continue to develop new and existing partnerships with local people, patients, and neighbouring NHS organisations, local authorities and charitable bodies and GPs.

Detailed job description and main responsibilities

Professional / Clinical responsibilities:

  • To take clinical responsibility / have clinical oversight for the occupational therapy  provided to patients within their own homes or community.
  • To respect patients' dignity, privacy, culture and wishes during treatment, with a commitment to equal access to occupational therapy.
  • To undertake advanced, specialist assessments of patients with a wide range of acquired physical and cognitive impairments arising from Stroke who may have multiple pathologies and complex needs, including end of life conditions, in order to determine the occupational therapy intervention needed.
  • To plan, develop and implement individually tailored programmes of treatment that are patient-centred.
  • To work collaboratively with patients, carers, members of the multidisciplinary team and external agencies to ensure a co-ordinated approach to service delivery, appreciating the roles of all partners.
  • To communicate with all appropriate people and organisations to provide and receive all relevant information pertaining to each patient ensuring holistic and informed care.
  • To maintain good working links and liaise with GPs and Social Services and all relevant others involved with each patient’s care, ensuring consultation, feedback and discharge communication.
  • To attend case conferences and other meetings, as appropriate.
  • To communicate and negotiate with individual patients and all those involved in the patient's care, to ensure that occupational therapy is effective.
  • To maintain a highly skilled clinical interest and expertise in Stroke.
  • Using national standards and guidance to contribute to the development of new ways of working with this patient group.
  • To ensure a high standard of clinical practice is maintained, keeping up to date with clinical developments and only undertaking treatment modalities in which trained and competent.
  • To help triage, prioritise and organise own caseload.
  • To support the service's commitment to meeting patient needs and to delivering excellence.
  • It is essential the post holder is able to work their hours flexibly and to contribute fully to service development.
  • To work with agile working devices within community settings.

Management and Leadership:

  • To be responsible for prioritising and managing own workload including arrangements for cover during planned absence.
  • To take a lead role in prioritisation and referrals management and allocations in Lambeth.
  • To help support patient flow into and out of our service.
  • To take part in internal and external working parties to develop clinical and policy changes within the wider Community Stroke and Neurorehabilitation Service. This may involve being the lead occupational therapy contributor.
  • To advise on and implement policy development and changes within the Stroke Pathway.
  • To organise and manage appropriate delegation of tasks to Band 6 Occupational Therapists, Occupational Therapy Apprentice, Assistant and Rehabilitation Support Workers, as well as requirements to line manage and clinically supervise these staff groups.
  • To provide accurate and complete data for audit and evaluation purposes.
  • To attend all appropriate team meetings and take the lead on specific topics within those meetings as required.
  • To participate in the Trust appraisal scheme.
  • To assist in the day to day management of staff in the team.
  • To participate in the recruitment and selection of staff as required.
  • To act as lead health professional for clients as required. This may mean initiating and co-ordinating multidisciplinary/multiagency meetings, liaising with clients and families, initiating joint therapy goals and referral on to other agencies.
  • To support the attainment of the services activity targets, including supporting to deliver group based therapy, for example post-Stroke fatigue management. This may be in-person, virtual or both.
  • To work closely and collaborate with peers, including another Senior Specialist Occupational Therapist in the Community Stroke Team.

Information management:

  • To keep accurate written records of assessment and treatment accordance with standards set and to input data into the electronic patient care notes system.
  • To record and return timely and accurate statistical data as required by the department, community directorate and the Trust.
  • To ensure that patient diary appointments are booked and outcomed on time on our electronic patient system.
  • To follow and adhere to our trust policy on Information Governance.

Education & Professional Development:

  • To plan, organise and deliver training to all grades of Occupational Therapy students through in-service training, supervision, joint working, practical demonstrations, video analysis etc.
  • As a Clinical Educator, to provide a high standard of Occupational Therapy training for students on placement. To co-ordinate and manage individual student placements, which may include Masters level students, as allocated. To liaise with university staff as relevant to the student placement.
  • To give formal and informal training and presentations to others both within and external to the organisation.
  • To maintain and record ongoing professional development, through formal peer review and using a professional portfolio
  • To attend professional body / clinical interest group meetings as appropriate.
  • To read relevant journals and research papers and participate in appropriate work related research/evaluation projects. Meet with AHP Consultant Lead to support with the development and progression of quality improvement projects.
  • To attend training courses, participate in experiential learning as identified in Personal Development Plan and impart information to colleagues.
  • To participate in regular line management supervision with Deputy Clinical Lead for Community Stroke Team and regular clinical supervision with Clinical Specialist Occupational Therapist within the wider service.

Person specification

Professional / Statutory Registration

Essential criteria
  • Health and Care Professions Council registration.
  • Evidence of maintenance of CPD portfolio reflecting professional development.
Desirable criteria
  • Registration with The Royal College of Occupational Therapists (RCOT).

Qualifications / Education

Essential criteria
  • Recognised Occupational Therapy degree qualification or equivalent.
  • Recognised post-graduate qualification in specialist clinical area and/or evidence of attendance on relevant post registration courses in specialist clinical area.
Desirable criteria
  • Member of relevant Clinical Interest Group e.g. RCOT Specialist Section – Neurological Practice.
  • Evidence of training in leadership and management skills.

Previous Experience

Essential criteria
  • Significant rehabilitation experience at band 6 level across neuro-rehab including Stroke.
  • Ability / experience of managing less senior staff and students including providing supervision and appraisal.
  • Experience of working as part of a multidisciplinary team.
Desirable criteria
  • Experience of leading on service improvement initiatives/projects.
  • Experience of working in a community setting.
  • Experience of research.

Knowledge - Ability

Essential criteria
  • Ability to analyse assessment findings in order to formulate individual occupational therapy management plans and treatment goals for each client and progress treatment appropriately.
  • Ability to use reflective practice to evaluate clinical interventions and achieve successful outcomes.
  • Knowledge of basic research and audit methodology.
Desirable criteria
  • Knowledge of current national guidelines, policy and procedures relevant to Stroke.

Skills - Ability

Essential criteria
  • Ability to evaluate quality and use evidence-based practice.
  • Ability to manage a complex and constantly changing workload of clinical and non-clinical duties demonstrating excellent time management, prioritisation and organisational skills.
  • Demonstrates highly developed verbal, non-verbal and written communication skills in English.
  • Ability to demonstrate good negotiating skills.
  • Ability to demonstrate initiative and work autonomously as a lone practitioner.
  • The ability to devise, deliver and evaluate training both within the service and to other agencies.

Physical Requirements

Essential criteria
  • Highly developed therapeutic handling skills.

Employer certification / accreditation badges

Timewise helps businesses to attract and develop the best talent through flexible working.Care quality commission - GoodDisability confident employer

Applicant requirements

You must have appropriate UK professional registration.

The postholder will have access to vulnerable people in the course of their normal duties and as such this post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service to check for any previous criminal convictions.

Documents to download

Apply online now

Further details / informal visits contact

Name
James Newbury
Job title
Deputy Clinical Lead
Email address
[email protected]
Telephone number
07769065321
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